| NPI | 1922428069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD466696) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD466696) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-11-16 |